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The treatment depends on the specific location, extent, and cause of the bleeding. Treatment goals may include lifesaving interventions such as intubation and hyperventilation (when a breathing tube is inserted and the person is forced to breathe rapidly to reduce pressure in the brain).
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If the bleed is small and does not cause increased pressure within the brain, treatment may be conservative and focus on controlling the symptoms.
Surgical removal of hematomas (areas of pooled blood) may be appropriate in some cases. Surgical repair of structures causing the bleed, such as repair of an aneurysm or arteriovenous malformation, may be appropriate in some cases.
Medication may be needed to reduce brain swelling. Anticonvulsants can be used to control seizures, analgesics may be needed to control pain, and other medications may be required for symptoms particular to the area affected.
If a bleeding disorder is present, medications or blood products may be needed to control it.
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